Active NPI
Charles P. Adams Jr., MD PA
- Ophthalmology Physician
- Jacksonville, FL
National Provider Identifier
1871812016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME45165
- Legal business name
- CHARLES P. ADAMS JR., MD PA
- Practice address
- 1034 Riverside Ave
Jacksonville, FL 32204-4123 - Phone
- (904) 354-2114
- NPI assigned
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles P Adams, MD
- Title
- Owner
- Phone
- (904) 354-2114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME45165 | FL | Primary |
Addresses
Primary practice location
1034 Riverside Ave
Jacksonville, FL 32204-4123
Mailing address
1034 Riverside Ave
Jacksonville, FL 32204-4123
Phone (904) 354-2114
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1871812016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044123",
"telephone_number": "904-354-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044123",
"telephone_number": "904-354-2114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES P. ADAMS JR., MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-354-2114",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME45165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.